Organization
GAIL VANT ZELFDE, PH.D., LLC
Active
Organization
GAIL VANT ZELFDE, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL VANT ZELFDE PH.D (OWNER)
(610) 941-0196
Entity
Organization
Contact information
Practice address
158 E BUTLER AVE, SUITE 3, AMBLER, PA 19002-4436
(610) 941-0196
Mailing address
158 E BUTLER AVE, SUITE 3, AMBLER, PA 19002-4436
(610) 941-0196
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005338L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001661409
AMERIHEALTH
PA
01
—
0261731000
PERSONAL CHOICE
PA
01
—
466001
BLUE CROSS BLUE SHIELD
PA
01
—
487643000
MAGELLAN
PA
01
—
5616328
AETNA
PA
Enumeration date
04/17/2013
Last updated
04/17/2013
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